Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Lateral Entry - B.Tech (Marine Engineering)

APPLICATION FOR ADMISSION - 2021

 
Dossier ID: LTE2186415
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Salman Rafi
Mother's Name: Fathibi  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 20 Feb 2002 Name as per passport:SALMAN RAFI
Passport No.: M6556787 Date of Expiry: 01 Jan 1970
Place of Issue: KOZHIKODE Nationality: INDIA

((Note: If you do not have passport, you may apply for it as early as possible as passport is mandatory at the time of admission.)

Place of Birth: Payangadi Personal Identification Mark: A BIRTH MARK ON THE LEFT UPPER ARM
Blood Group: A + Address for Communication: Darul hiba ,chembanal Near BSNL tower PO vengara,payangadi
State: Kerala Country: India
Pin: 670305 City/District: KANNUR
Mobile no: 8590523239 Telephone No. with STD code: 04972873288
Aadhar Card No:291231525721 E-mail: tp.afeefa123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Fathibi Relationship with candidate: Mother
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: Darul hiba , chembanal Near BSNL tower PO vengara, payangadi
Country: India State: Kerala
City/District: Payangadi Pin: 670305
Tel: 04972873288 Mobile no.: 6238344288
Fax: 08955 Email: tp.fathima555@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Marine
Year of Passing: 2017 Year of Joining: 2019
Board: Kerala Year of Passing: 2020
School Name: Kambil mopla higher secondary school Board: Kerala
City: Kannur Name of College/Institution: SECT
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 85 First year: 80
English: 79 Second year: 85
Address of School/College: Kambil mopla higher secondary school,kambil PO,kolachery ,kannur Third year: 81
Pin: 670601 Aggregate Percentage: 80
Contact Nos: 9895853353  
Email: kambilmopla@gmail.com  
 
Why do you wish to join TMI?: To became a marine engineer
What are your hobbies?: Reading,running
What are your strengths?: Reading
What are your weaknesses?: Exercise
How do you intend to meet the expenses of this program?: Bank Loan
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

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Date ________________